Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway

Abstract Background Laryngeal mask airway (LMA) insertion contributes to airway protection in patients with a laryngeal tumor around the glottis. There has been no report of LMA insertion itself exacerbating airway obstruction in such patients. Case presentation A 62-year-old male underwent elective...

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Main Authors: Satoshi Fuseya, Takashi Ichino, Satoshi Tanaka, Kumiko Ishida, Takashi Ishida, Mikito Kawamata
Format: Article
Language:English
Published: SpringerOpen 2018-06-01
Series:JA Clinical Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40981-018-0180-3
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author Satoshi Fuseya
Takashi Ichino
Satoshi Tanaka
Kumiko Ishida
Takashi Ishida
Mikito Kawamata
author_facet Satoshi Fuseya
Takashi Ichino
Satoshi Tanaka
Kumiko Ishida
Takashi Ishida
Mikito Kawamata
author_sort Satoshi Fuseya
collection DOAJ
description Abstract Background Laryngeal mask airway (LMA) insertion contributes to airway protection in patients with a laryngeal tumor around the glottis. There has been no report of LMA insertion itself exacerbating airway obstruction in such patients. Case presentation A 62-year-old male underwent elective surgical resection of a large laryngeal polyp. The polyp was attached to the right vocal fold and synchronously swung inward into the trachea and outward to the larynx with inspiration and expiration, respectively. Although manual positive pressure ventilation was easily achieved without any airway obstruction after anesthetic induction, the airway was completely obstructed by the polyp lodged between the vocal cords immediately after LMA insertion. Soon after removal of the LMA, patency of the airway was dramatically improved. Conclusion Our experience indicates that we should pay attention to airway obstruction due to lodging of the polyp between the vocal cords after LMA insertion in patients with a laryngeal polyp.
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spelling doaj.art-4432e8d56b894ffab7f5bc009e093c602022-12-21T23:02:47ZengSpringerOpenJA Clinical Reports2363-90242018-06-01411310.1186/s40981-018-0180-3Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airwaySatoshi Fuseya0Takashi Ichino1Satoshi Tanaka2Kumiko Ishida3Takashi Ishida4Mikito Kawamata5Department of Anesthesiology and Resuscitology, Shinshu University School of MedicineDepartment of Anesthesiology and Resuscitology, Shinshu University School of MedicineDepartment of Anesthesiology and Resuscitology, Shinshu University School of MedicineDepartment of Anesthesiology and Resuscitology, Shinshu University School of MedicineDepartment of Anesthesiology and Resuscitology, Shinshu University School of MedicineDepartment of Anesthesiology and Resuscitology, Shinshu University School of MedicineAbstract Background Laryngeal mask airway (LMA) insertion contributes to airway protection in patients with a laryngeal tumor around the glottis. There has been no report of LMA insertion itself exacerbating airway obstruction in such patients. Case presentation A 62-year-old male underwent elective surgical resection of a large laryngeal polyp. The polyp was attached to the right vocal fold and synchronously swung inward into the trachea and outward to the larynx with inspiration and expiration, respectively. Although manual positive pressure ventilation was easily achieved without any airway obstruction after anesthetic induction, the airway was completely obstructed by the polyp lodged between the vocal cords immediately after LMA insertion. Soon after removal of the LMA, patency of the airway was dramatically improved. Conclusion Our experience indicates that we should pay attention to airway obstruction due to lodging of the polyp between the vocal cords after LMA insertion in patients with a laryngeal polyp.http://link.springer.com/article/10.1186/s40981-018-0180-3Airway obstructionLaryngeal polypLaryngeal mask airway
spellingShingle Satoshi Fuseya
Takashi Ichino
Satoshi Tanaka
Kumiko Ishida
Takashi Ishida
Mikito Kawamata
Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway
JA Clinical Reports
Airway obstruction
Laryngeal polyp
Laryngeal mask airway
title Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway
title_full Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway
title_fullStr Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway
title_full_unstemmed Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway
title_short Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway
title_sort airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway
topic Airway obstruction
Laryngeal polyp
Laryngeal mask airway
url http://link.springer.com/article/10.1186/s40981-018-0180-3
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AT kumikoishida airwayobstructionduetoalaryngealpolypfollowinginsertionofalaryngealmaskairway
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